Da Vinci Clinical Data Exchange (CDex)
1.0.0 - STU R1 US

This page is part of the Da Vinci Clinical Documentation Exchange (v1.0.0: STU1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

: CDex Work Queue Value Set - XML Representation

Draft as of 2021-10-26

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="cdex-work-queue"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include these codes as defined in <a href="CodeSystem-cdex-temp.html"><code>http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-claims-processing">claims-processing</a></td><td>Claim Processing</td><td>Request for data necessary from payers to support claims for services.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-risk-adjustment">risk-adjustment</a></td><td>Risk Adjustment</td><td>Request for data from payers to calculate differences in beneficiary-level risk factors that can affect quality outcomes or medical costs, regardless of the care provided.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-quality-metrics">quality-metrics</a></td><td>Quality Metrics</td><td>Request for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-prior-authorization">prior-authorization</a></td><td>Prior Authorization</td><td>Request for data from payers as part of a prior authorization requests from EHR systems. If authorization is required and documentation is necessary to substantiate the need for the service, the specific documentation is requested. The documentation may take the form of attestations by the provider, diagnoses, results of specific diagnostic tests, prior treatment that has been tried and failed, specific studies that need to be performed and other specific documentation such as progress notes or discharge summaries.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-referral">referral</a></td><td>Referral</td><td>Request for additional clinical information from referring provider to support performing the requested service.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-social-care">social-care</a></td><td>Social Care</td><td>Request for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-authorization-other">authorization-other</a></td><td>Other Authorization</td><td>Request for data from payers for other authorization request not otherwise specified.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-care-coordination">care-coordination</a></td><td>Care Coordination</td><td>Request for data from payers to create a complete clinical record for each of their members to improve care coordination and provide optimum medical care.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-documentation-general">documentation-general</a></td><td>General Documentation</td><td>Request for data used from payers or providers for general documentation.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-orders">orders</a></td><td>Orders</td><td>Request for additional clinical information from referring provider to support orders.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-patient-status">patient-status</a></td><td>Patient Status</td><td>Requests for patient health record information from payers to support their payer member records.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-signature">signature</a></td><td>Signature</td><td>Request for signatures from payers or providers on requested data.</td></tr></table></li></ul></div>
  </text>
  <url value="http://hl7.org/fhir/us/davinci-cdex/ValueSet/cdex-work-queue"/>
  <version value="1.0.0"/>
  <name value="CDexWorkQueueCodes"/>
  <title value="CDex Work Queue Value Set"/>
  <status value="draft"/>
  <date value="2021-10-26T18:38:56-07:00"/>
  <publisher value="HL7 International - Patient Care Work Group"/>
  <contact>
    <name value="HL7 International - Patient Care Work Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/patientcare"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="patientcare@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="The set work queue tags that the provider may use in their workflow to process request. This code set is composed of codes defined by this Guide."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Used by permission of HL7 International all rights reserved Creative Commons License"/>
  <compose>
    <include>
      <system value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
      <concept>
        <code value="claims-processing"/>
      </concept>
      <concept>
        <code value="risk-adjustment"/>
      </concept>
      <concept>
        <code value="quality-metrics"/>
      </concept>
      <concept>
        <code value="prior-authorization"/>
      </concept>
      <concept>
        <code value="referral"/>
      </concept>
      <concept>
        <code value="social-care"/>
      </concept>
      <concept>
        <code value="authorization-other"/>
      </concept>
      <concept>
        <code value="care-coordination"/>
      </concept>
      <concept>
        <code value="documentation-general"/>
      </concept>
      <concept>
        <code value="orders"/>
      </concept>
      <concept>
        <code value="patient-status"/>
      </concept>
      <concept>
        <code value="signature"/>
      </concept>
    </include>
  </compose>
</ValueSet>